<!DOCTYPE html>
<html>
<head>
    <meta charset="UTF-8">
    <title>云his工作平台</title>
    <link rel="stylesheet" type="text/css" href="/static/easyui/css/bootstrap/easyui.css">
    <link rel="stylesheet" type="text/css" href="/static/css/inhos.css">
    <script type="text/javascript" src="/static/jquery/jquery-1.11.3.min.js"></script>
    <script type="text/javascript" src="/static/js/head.js"></script>
    <script type="text/javascript" src="/modules/patient/js/inHospitalList.js"></script>

    <script type="text/javascript" src="/static/data/data_page_doctor.js"></script>
    <script type="text/javascript" src="/static/data/data_diagnosis.js"></script>
    <script type="text/javascript" src="/static/data/data_dict_sex.js"></script>
    <script type="text/javascript" src="/static/data/data_page_doctor.js"></script>
    <script type="text/javascript" src="/static/data/data_admission_situation.js"></script>
    <script type="text/javascript" src="/static/data/data_marriage_dict.js"></script>
    <script type="text/javascript" src="/static/data/data_identity_dict.js"></script>
    <script type="text/javascript" src="/static/data/data_nation.js"></script>
    <script type="text/javascript" src="/static/data/data_profession.js"></script>
    <script type="text/javascript" src="/static/data/data_nationality.js"></script>
    <script type="text/javascript" src="/static/data/data_charge_type.js"></script>
    <script type="text/javascript" src="/static/data/data_resource.js"></script>
    <script type="text/javascript" src="/static/data/data_relationship.js"></script>
    <script type="text/javascript" src="/static/data/data_patient_class.js"></script>
    <script type="text/javascript" src="/static/data/data_objective.js"></script>
    <script type="text/javascript" src="/static/data/data_clinic_dept.js"></script>
    <style>
        .bot-medbtn
        {
            float:right;
            padding:15px 10px 0 0;
        }
        .bot-medbtn a
        {
            display:inline-block;
            padding:10px;

        }
    </style>
</head>


<body class="easyui-layout">


        <div id="searchDiv">
        <form name="searchform" method="post" action="" id ="searchform">
            <table cellpadding="0" cellspacing="0" width="100%">
                <tr>
                    <td class="text-right">患者姓名：</td>
                    <td><input type="text" class="easyui-textbox" id="name" /></td>
                    <td class="text-right">身份证号：</td>
                    <td><input type="text" class="easyui-textbox" id="idNo"/></td>
                    <td class="text-right">住院号：</td>
                    <td><input type="text" class="easyui-textbox" id="hospNo"/></td>
                </tr>
                <tr>
                    <td class="text-right">医保类别：</td>
                    <td><input type="text" class="easyui-textbox" id="ybType"/></td>
                    <td class="text-right">医保账号：</td>
                    <td><input type="text" class="easyui-textbox" id="ybNo"/></td>
                    <td align="left" colspan="2">
                        <button class="easy-nbtn easy-nbtn-info" onclick="searchByCondition();">查询</button>
                    </td>
                </tr>
            </table>
        </form>
        </div>
        <table id="leftList"></table>


        <div id="newDialog" class="easyui-dialog" style="width:100%;height:100%;padding:10px 20px"
             closed="true" buttons="#dlg-buttons" data-options="modal:true">
             <form id="masterForm" method="post">
            <input type="hidden" name="id" id="id">
            <div class="fitem fitem_pop">
                <label>
                    患者姓名：
                </label>
                <input name="name" class="easyui-textbox" required="true">

                <label>
                    性别：
                </label>
                <input type="hidden" name="sex"  id="sex" >
                <input id="sexId"  class="easyui-textbox" required="true" style="width: 5%">

                <label>
                    年龄：
                </label>
                <input name="age" id="age" class="easyui-numberbox" required readonly style="width: 5%">
            </div>

            <div class="fitem fitem_pop">
                <label>
                    出生日期：
                </label>
                <input name="dateOfBirth" class="easyui-datebox" id="dateOfBirth"  data-options="required:true,validType:'md[\'yyyy-MM-dd\']'"/>
                <label>
                    婚姻状况：
                </label>
                <input name="maritalStatus"  id="maritalStatus"  type="hidden"/>
                <input id="maritalStatusId" class="easyui-textbox" />
            </div>

            <div class="fitem fitem_pop">
                <label>
                    住院次序：
                </label>
                <input name="visitId" class="easyui-textbox" readonly/>
                <label>
                    国籍：
                </label>
                <input name="citizenship"  id="citizenship"   type="hidden"/>
                <input id="citizenshipId" class="easyui-textbox"  required/>
            </div>

            <div class="fitem fitem_pop">
                <label>
                    民族：
                </label>
                <input name="nation"  id="nation"   type="hidden"/>
                <input id="nationId" class="easyui-textbox" required/>
                <label>
                    身份证号：
                </label>
                <input name="idNo" class="easyui-textbox" />

            </div>

            <div class="fitem fitem_pop">
                <label>
                    出生地：
                </label>
                <input name="birthPlace" class="easyui-textbox" />
                <label>
                    通信地址：
                </label>
                <input name="mailingAddress" class="easyui-textbox" />
            </div>

            <div class="fitem fitem_pop">
                <label>
                    患者费别：
                </label>
                <input name="chargeType"  id="chargeType"  type="hidden"/>
                <input id="chargeTypeId" class="easyui-textbox" required/>
                <label>
                    身份：
                </label>
                <input name="identity"  id="identity"  type="hidden"/>
                <input id="identityId" class="easyui-textbox" />
            </div>

            <div class="fitem fitem_pop">
                <label>
                    职业：
                </label>
                <input name="occupation"  id="occupation"  type="hidden"/>
                <input id="occupationId" class="easyui-textbox" />
                <label>
                    工作单位：
                </label>
                <input name="insuranceType" class="easyui-textbox" />
            </div>

            <div class="fitem fitem_pop">
                <label>
                    合同单位：
                </label>
                <input name="unitInContract" class="easyui-textbox" >
                <label>
                    所属地区：
                </label>
                <input name="insuranceAera" class="easyui-textbox" />
            </div>

            <div class="fitem fitem_pop">
                <label>
                    联系人：
                </label>
                <input name="nextOfKin" class="easyui-textbox" />
                <label>
                    关系：
                </label>
                <input name="relationship"  id="relationship" type="hidden"/>
                <input id="relationshipId" class="easyui-textbox" />
            </div>

            <div class="fitem fitem_pop">
                <label>
                    联系电话：
                </label>
                <input name="nextOfKinPhone" class="easyui-textbox" />

                <label>
                    联系地址：
                </label>
                <input name="nextOfKinAddr" class="easyui-textbox" />
            </div>

            <div class="fitem fitem_pop">
                <label>
                    入院时间：
                </label>
                <input name="admissionDateTime" class="easyui-datebox" required  />
                <label>
                    接诊时间：
                </label>
                <input name="consultingDate" class="easyui-datebox" required/>
            </div>

            <div class="fitem fitem_pop">
                <label>
                    入院科室：
                </label>
                <input name="deptAdmissionTo" id="deptAdmissionTo" type="hidden">
                <input id="deptAdmissionToId" class="easyui-textbox" />

                <label>
                    门诊诊断：
                </label>
                <input id="diagnosisNo" name="diagnosisNo" type="hidden"/>
                <input id="diagnosis" name="diagnosis" class="easyui-textbox" required/>
            </div>

            <div class="fitem fitem_pop">
                <label>
                    入院来源：
                </label>
                <input name="fromOtherPlaceIndicator"  id="fromOtherPlaceIndicator"   type="hidden"/>
                <input id="fromOtherPlaceIndicatorId" class="easyui-textbox" />
                <label>
                    入院方式：
                </label>
                <input name="patientClass"  id="patientClass"  type="hidden"/>
                <input id="patientClassId" class="easyui-textbox" />
            </div>

            <div class="fitem fitem_pop">
                <label>
                    住院目的：
                </label>
                <input name="admissionCause"  id="admissionCause"  type="hidden"/>
                <input id="admissionCauseId" class="easyui-textbox" />

                <label>
                    病情：
                </label>
                <input name="patAdmCondition"  id="patAdmCondition"  type="hidden"/>
                <input id="patAdmConditionId" class="easyui-textbox" />
            </div>

            <div class="fitem fitem_pop">
                <label>
                    接诊医生：
                </label>
                <input id="consultingDoctor" name="consultingDoctor" class="easyui-textbox"  required/>
                <label>
                    经办人：
                </label>
                <input name="admittedBy" class="easyui-textbox" >
            </div>

            <div class="fitem fitem_pop">
                <label>
                    出院科室：
                </label>
                <input name="ddtRoomNo" class="easyui-textbox" readonly >

                <label>
                    发病日期：
                </label>
                <input name="onsetDate" class="easyui-textbox"  >
            </div>

            <div class="fitem fitem_pop">
                <label>
                    医保登记号：
                </label>
                <input name="nhSerialNo" class="easyui-textbox" >
            </div>

            <div class="fitem fitem_pop">
                <label>
                    备注：
                </label>
                <input name="remarks" class="easyui-validatebox validatebox-text validatebox-textarea"/>
            </div>

        </form>
            <div id="dlg-buttons">
                <a href="javascript:void(0)" id="saveBtn" class="easyui-linkbutton c6" iconCls="icon-ok"
                   style="width:90px">保存</a>
                <a href="javascript:void(0)" class="easyui-linkbutton" iconCls="icon-cancel"
                   id="cancelBtn" style="width:90px">关闭</a>
            </div>
        </div>

</body>
</html>                                                                                                                                                                                                                                                                                                                  